title: [Early removal of the chest tube after lobectomies: a prospective randomized control study].
abstract: OBJECTIVE
  To evaluate the feasibility and safety of early chest tube removal after lobectomies for lung diseases.
  
  
  METHODS
  A prospective randomized control study was performed with data collected from lobectomies between March 2012 and September 2012. Eligible patients (n = 70) were randomized into two groups; early removal group (removal of chest tube when drainage less than 300 ml/24 h, n = 41) and traditional management group (removal of chest tube when drainage less than 100 ml/24 h, n = 29). Criteria for early removal were established and met before chest tube removal. The volume and character of drainage, time of extracting drainage tube and postoperative hospital stay were measured. All patients received standard care during hospital admission and a follow-up visit was performed after 7 days of discharge from hospital.
  
  
  RESULTS
  There were no differences between two groups with respect to age, sex, comorbidities, or pathologic evaluation of resection specimens. The median volume of drainage within 24 h after surgery was 300 ml and within 48 h was 250 ml, there was significantly different between two groups (Z = -2.059, P = 0.039). Patients undergoing early removal management had a shorter Chest tube duration (44 hours vs. 67 hours, Z = -2.914, P = 0.004) and a shorter postoperative hospital stay (5.0 days vs. 6.0 days, Z = -3.882, P = 0.000). Analysis of data showed no statistically significant differences between the rate of pleural effusions developed, thoracentesis and complications, one week after discharge from hospital.
  
  
  CONCLUSIONS
  Compared to the traditional management group (drainage ≤ 100 ml/24 h), early removal of chest tube after lobectomy (drainage ≤ 300 ml/24 h) is feasible and safe. It could result in a shorter hospital stay, and most importantly, reduces morbidity without the added risk of complications.
authors.affiliation: Department of Thoracic Surgery, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Zhang
authors.forename: Hui
authors.initials: H
authors.lastname: Li
authors.forename: Bin
authors.initials: B
authors.lastname: Hu
authors.forename: Sheng-Cai
authors.initials: SC
authors.lastname: Hou
authors.forename: Tong
authors.initials: T
authors.lastname: Li
authors.forename: Jin-Bai
authors.initials: JB
authors.lastname: Miao
authors.forename: Yang
authors.initials: Y
authors.lastname: Wang
authors.forename: Bin
authors.initials: B
authors.lastname: You
authors.forename: Yi-Li
authors.initials: YL
authors.lastname: Fu
authors.forename: Qi-Rui
authors.initials: QR
authors.lastname: Chen
authors.forename: Wen-Qian
authors.initials: WQ
authors.lastname: Zhang
authors.forename: Shuo
authors.initials: S
authors.lastname: Chen
authors.forename: Xiao-Xing
authors.initials: XX
authors.lastname: Hu
mesh_terms: D000368:Aged; D015505:Chest Tubes; D020878:Device Removal; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000453:epidemiology; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies